display ad form | Community Horse

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company name

contact name

mailing address: street/po box, city, state, zip

phone

phone type

cell phone

land line

email

website

ad duraton

one issue (six months)

two issues (one year)

issue(s)

Spring/Summer

Fall/Winter

Spring/Summer & Fall/Winter

ad size

full page

1/2 page

1/4 page

ad price per issue

special instructions/requests

card number

form of payment

visa

master card

am ex

check (net 7)

venmo

venmo user

your signature

date

exp. date

3-digit CID

Thank you for advertising with us! We'll send you a confirmation email within one business day.

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